FDF
exstra_real_estate_reverse_form.pdf
Email: [email protected]
Page 1 of 2
Fax: 888-876-3583
Reverse Exchange Worksheet
For Real Estate
Exchangor/Taxpayer Information:
Name:
□
Individual(s)
□
Trust
□
Partnership
□
Corporation State of Formation:
□
Other
Contact Person, if not an Individual:
Mailing Address:
Phone:
Email:
Replacement Property Information:
Address or Legal Description:
County:
State:
Expected Close Date:
Purchase Price:
Estimated closing costs:
Loan amount:
Lender:
□
Interest Only
□
Amortizing
Short description of improvements to be made, if any:
Estimated value of improvements:
Relinquished Property Information:
Address or Legal Description:
County:
State:
Expected Close Date:
Estimated amounts, if known:
Expected Sale Price:
Mortgage Payoff:
Cost Basis:
Email: [email protected]
Page 2 of 2
Fax: 888-876-3583
Reverse Exchange Worksheet
For Real Estate
Replacement Property Closer Information:
Company Name:
Contact Name:
File #
Phone:
Email:
Exchangor’s Lender Information:
Contact Name:
Phone:
Email:
Exchangor’s Advisor Information:
Firm Name:
Contact Name:
Role:
Phone:
Email:
Relinquished Property Closer Information:
Company Name:
Contact Name:
File #:
Phone:
Email: